State your PICOT question. Indicate in parentheses after each segment, what part of PICOT the preceding words represent. For example: In patients recently discharged from the hospital following care

Running Head: THE BACKGROUND QUESTION 0

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The Background Question

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The Background Question

Obesity is defined as a BMI at or above the 95th percentile for children and teens of the same age and sex (Liu, Li, Li, Li, Wang & Li, 2018). Liu et al. (2018) argue that childhood obesity lead to such health problems as type 2 diabetes and cardiovascular disease. These could either occur at a young age, or even during adulthood. Children are also at risk of psychological problems like anxiety and depression. In addition, obesity causes significant economic challenges. These include for both the society and the family.

Obesity has emerged as a significant public health concern across the globe; the importance of early prevention and treatment cannot be exaggerated. Pediatric primary care is a promising setting for behavioral obesity prevention and treatment interventions. Primary care doctors provide a wide source of health information and interventions to the help the children and their families how to manage obesity. Primary care provides a multidisciplinary team approach where the children and their families are taught how to follow a healthy diet, the importance to practice physical exercises at least three times per week, the appropriate portion sizes and to limit the sweetened beverages (Byrne, Brown, Ball, Wild, Maximova, Holt, Cave, Martz, & Ellendt, 2018).

According to Byrne et al. (2018), obesity results from a combination of factors. They include behavioral, dietary, social, physical, genetic, and psychological factors. Nutrition during pregnancy as well as during early life are also thought of as causal factors (Byrne et al., 2018; Park & Cormier, 2018). Since a significant number of factors are known, it seems likely that effective solutions would be found. Nevertheless, this has not been the case so far. Indeed, the prevalence rate continues to rise.

The proposed study is, therefore, aimed at uncovering how childhood obesity develops, and how it could be prevented. The presumption is that changes should come from above. Working on policy changes would bring about timely solutions as the entire society would rallied towards a single aim (Liu et al., 2018). It is on this basis that the background question for the proposed research is “What policy changes are needed to address childhood obesity in an effective manner?”. Other questions to add for research that may help to build better my background question are:

How is Childhood obesity defined and how is it diagnosed in primary care?

What population is at the most risk for Childhood obesity?

What are some of the causes of Childhood obesity?

How is Childhood obesity identified and treated?

Byrne, J.L.S., Browne, N.E., Ball, G.D.C., Wild, C.T., Maximova, K., Holt, N.L., Cave, A.J., Martz, P., & Ellendt, C. (2018). A brief eHealth tool delivered in primary care to help parents prevent childhood obesity: a randomized controlled trial. Pediatric Obesity, 13(11), 659–667. https://doi.org/10.1111/ijpo.12200

Liu, W., Li, Q., Li, H., Li, J., Wang, H.J., & Li, B. (2018). 20-year trends in prevalence of overweight and obesity among children aged 0-6 in Harbin, China: A multiple cross-sectional study. PLoS ONE, 13(6), 1–12. https://doi.org/10.1371/journal.pone.0198032

Park, S. H., & Cormier, E. (2018). Influence of siblings on child health behaviors and obesity: A systematic review. Journal of Child & Family Studies, 27(7), 2069–2081. https://doi.org/10.1007/s10826-018-1049-9